Samuel Lutner, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1561 Issued in MA

Practice address

25 Highland Ave
Newburyport, MA 01950-3867

Phone

(978) 463-1050

NPI assigned

Jun 7, 2007

Last updated

Dec 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slutner448882@direct.bilh.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearchoicemd, PLLC

  • Urgent Care Clinic/Center
  • Berlin, VT
  • NPI 1851722417

  NH

  Medicare reassignment Care Compare group NPD
• Greater Newburyport Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Newburyport, MA
  • NPI 1396793139
  Medicare reassignment
• Newburyport Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Newburyport, MA
  • NPI 1215724364
  Medicare reassignment
• Alliance Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Goffstown, NH
  • NPI 1093295792
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1760685655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GILL ST",
            "address_2": "STE 3000",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011728",
            "telephone_number": "781-937-4522",
            "fax_number": "781-937-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTNER",
        "first_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Lowenstein, DPT
• Jasmine Lu
• Courtney R Lucey, PA-C
• Isaac Lucken, PA-C
• Lars Lundgren, M.D.
• Judith S. Lynch, LICSW
• Lynnfield Compounding Center Inc (Freedom FP Fertility Pharmacy)
• Lynnfield Drug Inc (Freedom Fertility Pharmacy)
• Lynnfield Drug Inc (Freedom Fertility Pharmacy)
• M Coyle LLC

• Physician Assistant in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.